NCM 117A: Psychiatric Nursing Course PDF

NCM 117A CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR Module 0.0 COURSE ORIENTATION Course Description NCM 117 A, deals with the concepts, principles, theories and techniques of nursing care management of clients with maladaptive patterns of behavior of the individual, families, popu...

NCM 117A CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR Module 0.0 COURSE ORIENTATION Course Description NCM 117 A, deals with the concepts, principles, theories and techniques of nursing care management of clients with maladaptive patterns of behavior of the individual, families, population groups and communities, across the lifespan, in any health care setting. The learners are expected to provide safe, appropriate, evidence based holistic and individualized care to meet the full range of needs of the client person (s) experiencing psychiatric emergencies and/ or those with mental health alterations through the principles and cultural/ ethnic sensitivities. Course Credit  Theory: 4 units- 72 hours  RLE Skills Lab: 1 unit- 51 hours  RLE Clinical: 3 units- 153 hours Placement  3rd Year, 2nd Semester  Midterm/ Endterm  50/50  Term Requirement: Quiz – 40 Requirement – 20 Term Exam – 40 Prerequisite  NCM 108, NCM 112  Health Care Ethics (Nursing Bioethics)  Medical Surgical Nursing Concepts Level Outcomes  At the end of the semester, given individuals, families, population groups, and communities with physiologic and psychosocial health problems and maladaptive patterns of behavior in varied healthcare settings, the learners demonstrate safe, appropriate and holistic care utilizing. the nursing process and applying research and evidence based practice. Course Outcome 1. Apply knowledge of physical, social, natural and health sciences and humanities in the holistic care of adult clients with maladaptive patterns of behavior health needs in varied health care setting. 2. Provide comprehensive safe, appropriate and holistic care to adult individuals, families and population groups with biopsychosocial and behavioral, and needs and problems in varied health care setting utilizing the nursing process. 3. Apply guidelines and principles of evidence based practice in the delivery of care to clients with maladaptive patterns of behavior in varied health care settings. 4. Practice psychiatric nursing in accordance with professional standards, existing laws, legal, ethical and moral principles. 5. Communicate effectively with the clients and members of the health care team utilizing culturally- appropriate language in both written and spoken means. 6. Document to include reporting up to date care od adult clients with physiologic and psychosocial health needs accurately and comprehensively. 7. Work effectively in collaboration with inter, intra and multidisciplinary and multi cultural teams in caring for adult clients with physiologic and psychosocial health needs in varied health care settings. 8. Practice beginning management and leadership skills in the delivery of care for adult clients with physiologic and psychosocial health needs in varied health care settings. 9. Conduct research with an experienced researcher or to enhance quality of psychiatric mental health nursing care. 10. Engage in lifelong learning with passion to keep current with local, national and global nursing developments with regards to care of adult clients with mental health and psychosocial health needs. 11. Demonstrate responsible citizenship and pride of being a Filipino Nurse in the care of clients with maladaptive patterns of behavior. 12. Apply techno intelligent care systems and processes in the care of clients with maladaptive patterns of behavior. 13. Adopt the core values of nursing in the practice of psychiatric mental health nursing. 14. Apply entrepreneurial skills necessary in the delivery of Psychiatric- Mental Health Nursing (PMHN) care. House Rules:  Review La Sallian Nettiquette.  Attend class on time.  Absences. Sick call.  Wear comfortable- decent clothes.  4 Hour class – 2 hour meeting/ day.  Honesty Policy. The Basic Principles in Psychiatric Nursing: 1. Accept patient exactly as they are. 2. Maintain contact with reality. 3. Seek validation from patient. 4. Self understanding used as a therapeutic tool. 5. Nurses’ personal contribution. 6. Influence with expectation of behavior. 7. Consistency and patient security. 8. Reassurance. 9. Change patient behavior through emotional experience. 10. Avoid increase in patient anxiety. 11. Consideration of reason for behavior. 12. Necessity of motor and sensory stimulation. 13. Realistic Nurse- Patient relationship. Psychiatric nursing  An interpersonal process whereby the professional nurse practitioner assists an individual, family, or community to promote mental health, to prevent or cope with experience if mental illness and suffering and if necessary to find meaning in these experiences. Travelbee.  A specialized area of nursing practice employing theories of human behavior as its science and purposeful use of self as its art. It is directed towards both preventive and corrective impacts upon mental disorders and their sequence and is concerned with the promotion of optimal mental health for society, and the community and those individuals who live within it. ANA. Mental Health Health is a state of wellbeing in which the individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his own community. WHO  Includes our emotional, psychological, and social wellbeing. It affects how we think, feel and act as we cope with life. It also helps determine how we handle stress, relate to others, and make choices.  Mental health is important at every stage of life, from childhood and adolescence through adulthood. Mental Illness Are serious disorders which can affect your thinking, mood, and behavior. The there are many causes of mental disorders. Your genes and family history may play a role. Life experiences, such as stress or a history of abuse, may also matter. Biological factors can also be part of the cause. Mental disorders are common, but treatments are available. Neurobiological theory  Focus on genetic factors, neuro anatomy, neurophysiology and biological rhythms, as they relate to the course of mental disorders. 5 Principles of mind to the brain relationship 1. All mental processes, includes those conscious and unconscious, result from operations of the brain. (Behavioral disorders are disturbances of the brain function.) 2. Genes are important determinants how neurons function and has significant control over behaviour. 3. Social and developmental factors modify the expression of genes and function of the neurons. 4. Learning creates changes in neuronal connections. Abnormalities in behavior can be induced by social conditions. 5. Counseling and therapy can create long term changes in gene expression. Importance: Recognize genetic factors in mental disorders minimizes the tendency to blame the victim or family. Understanding brain function helps you understand how neurobiology and psychotherapy converge. GNEMONICS: Almost every chromosome is linked Identical twins (monozygomatic). 50% Fraternal twins (dizygomatic). 15 Brother or sister. 10 One parent. 15 Both parents. 35 Second degree relatives. 2 to 3% No affected relatives. 1 Common differences related to mental health Male brain is 10% larger than female. Female has larger corpus callosum. Female produces more serotonin. Male has high testosterone levels. Common disorders: Male Autistic ADHD Learning Conduct Substance Abuse Antisocial Schizoid Schizotypal Paranoid Narcissistic OC Dimentia Common Disorders: Female Anxiety Schizoaffective Disorder Dysthymia Eating Borderline Histrionic Dependent Alzheimer's Common Disorder: Both Bipolar Oppositional Defiant Concepts of Mental Health and Mental Illness A. State of Mental Health and Mental Illness in the Country and in the World  The Philippine WHO Special Initiative for Mental Health conducted in the early part of 2020 shows that at least 3.6 million Filipinos suffer from one kind of mental, neurological, and substance use disorder.Oct 10, 2020  The Covid Pandemic has evoked overwhelming reactions and emotions from people.livelihoods affected, other how to keep their family safe. We need to take extra care now when it comes to mental health,  Mental health is a human right, it has to be available for all. Quality, assessibile primary health care is the foundation of for Universal health coverage and is urgently required.  Mental Health should be a reality for all- for everyone, everywhere.  fRANCISCO dUQUE, doh secretary DOH and WHO promote holistic mental health wellness in light of World Suicide Prevention Day  Though the Philippines has consistently ranked in the Top 5 of a global optimism index, the National Center for Mental Health (NCMH) has revealed a significant increase in monthly hotline calls regarding depression, with numbers rising from 80 calls pre- lockdown to nearly 400.   Globally, the most vulnerable population is those aged 15-29. Mental health-related deaths are also the second leading cause of fatalities in this age group. These numbers illustrate the need for more conversations and programs that will break the stigma around mental health. Most times, Filipinos do not feel comfortable sharing their mental health challenges for fear of alienation or prejudice.  With compassion and understanding for others, we can recognize the signs and educate ourselves how to access help. We all have a critical role in preventing suicide by socially connecting with affected people and connecting people to mental health services or medical care”  World Suicide Prevention Day.  It might help to:  Let them know that you care about them and that they are not alone, empathize with them. You could say something like, “I can’t imagine how painful this is for you, but I would like to try to understand,”  Be non-judgmental. Don’t criticize or blame them.  Show that you are listening by repeating information they have shared with you. This can also make sure that you have understood them properly.  Ask about their reasons for living and dying and listen to their answers. Try to explore their reasons for living in more detail  Ask if they have felt like this before. If so, ask how their feelings changed last time.  Reassure them they will not feel this way forever.  Encourage them to focus on getting through the day rather than focusing on the future.  Volunteer to assist them in finding professional help. If need be, offer to keep them company during their session with a licensed therapist.  Follow up any commitments that you agree to.  Make sure someone is with them if they are in immediate danger.  If you’re unsure about how to help, reach out to medical professionals for guidance.   Remember that you don’t need to find an answer, or even to completely understand why they feel the way they do. Listening to what they have to say will at least let them know you care.  wHO